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Organization

WEST POINT INTERNAL MEDICINE CLINIC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDMUND ANDERSON MILLER JR. M.D. (OWNER)
(662) 377-4685
Entity
Organization

Contact information

Practice address
830 MEDICAL CENTER DR, WEST POINT, MS 39773-9319
(662) 377-4685
Mailing address
830 MEDICAL CENTER DR, WEST POINT, MS 39773-9319
(662) 377-4685

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28771
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00115012
MS
Enumeration date
08/21/2009
Last updated
04/18/2011
Update your record

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